Individual
JESSIE MAE REIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
GRACE ROSS HEALTH CENTER 14585 GREENFIELD ROAD, DETROIT, MI 48227
(313) 852-4436
Mailing address
GRACE ROSS HEALTH CENTER 14585 GREENFIELD ROAD, DETROIT, MI 48227
(313) 852-4436
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704116204
MI
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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